Socioeconomic Barriers to Rhegmatogenous Detachment Surgery in Brazil
Purpose. To verify access barriers patients with retinal detachment face to arrive at a reference center and to evaluate patients’ knowledge about the disease. Methods. Transversal study that applied a questioner to 65 patients of the Clinical Hospital of the University of Sao Paulo with retinal det...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2014/452152 |
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| author | Pedro Carlos Carricondo Tatiana Tanaka Suellen Tiemi Shibata Leandro Cabral Zacharias Thiago Aragão Leite Maria Fernanda Abalem Walter Y. Takahashi |
| author_facet | Pedro Carlos Carricondo Tatiana Tanaka Suellen Tiemi Shibata Leandro Cabral Zacharias Thiago Aragão Leite Maria Fernanda Abalem Walter Y. Takahashi |
| author_sort | Pedro Carlos Carricondo |
| collection | DOAJ |
| description | Purpose. To verify access barriers patients with retinal detachment face to arrive at a reference center and to evaluate patients’ knowledge about the disease. Methods. Transversal study that applied a questioner to 65 patients of the Clinical Hospital of the University of Sao Paulo with retinal detachment between February and August of 2010. Results. Reasons for not performing the surgery in other services were as follows: 47% were referred because there was not vitreoretinal surgeon at original service; 27% could not afford the surgery, had no health insurance, or had no coverage at health insurance plan for the procedure. Time between the first symptom and the arrival at our service was as follows: 18 patients arrived in up to 7 days; 35 between 8 and 30 days; 8 between 31 and 90 days; 5 in more than 90 days. Reasons for delay were as follows: 70% did not know how serious the pathology was; 56% thought that it had spontaneous cure; 16% did not have money to pay for ophthalmic evaluation, 10% did not know where to go and 24% for other reasons. Conclusion. Educational programs about disease and measures to optimize the referral to specialized services are needed to accelerate the treatment of patients with rhegmatogenous retinal detachment. |
| format | Article |
| id | doaj-art-2d378a4dc7514b108fefbc5ebcc6688c |
| institution | Kabale University |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-2d378a4dc7514b108fefbc5ebcc6688c2025-02-03T06:14:04ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/452152452152Socioeconomic Barriers to Rhegmatogenous Detachment Surgery in BrazilPedro Carlos Carricondo0Tatiana Tanaka1Suellen Tiemi Shibata2Leandro Cabral Zacharias3Thiago Aragão Leite4Maria Fernanda Abalem5Walter Y. Takahashi6Ophthalmology Service of the Clinical Hospital, University of São Paulo, São Paulo, SP, BrazilRetina and Vitreous Department, Ophthalmology Service of the Clinical Hospital, University of São Paulo, São Paulo, SP, BrazilRetina and Vitreous Department, Ophthalmology Service of the Clinical Hospital, University of São Paulo, São Paulo, SP, BrazilOphthalmology Service of the Clinical Hospital, University of São Paulo, São Paulo, SP, BrazilUniversity of São Paulo Medical School, Rua Capote Valente 171, Apartment 62, 05409-000 São Paulo, SP, BrazilRetina and Vitreous Department, Ophthalmology Service of the Clinical Hospital, University of São Paulo, São Paulo, SP, BrazilOphthalmology Service of the Clinical Hospital, University of São Paulo, São Paulo, SP, BrazilPurpose. To verify access barriers patients with retinal detachment face to arrive at a reference center and to evaluate patients’ knowledge about the disease. Methods. Transversal study that applied a questioner to 65 patients of the Clinical Hospital of the University of Sao Paulo with retinal detachment between February and August of 2010. Results. Reasons for not performing the surgery in other services were as follows: 47% were referred because there was not vitreoretinal surgeon at original service; 27% could not afford the surgery, had no health insurance, or had no coverage at health insurance plan for the procedure. Time between the first symptom and the arrival at our service was as follows: 18 patients arrived in up to 7 days; 35 between 8 and 30 days; 8 between 31 and 90 days; 5 in more than 90 days. Reasons for delay were as follows: 70% did not know how serious the pathology was; 56% thought that it had spontaneous cure; 16% did not have money to pay for ophthalmic evaluation, 10% did not know where to go and 24% for other reasons. Conclusion. Educational programs about disease and measures to optimize the referral to specialized services are needed to accelerate the treatment of patients with rhegmatogenous retinal detachment.http://dx.doi.org/10.1155/2014/452152 |
| spellingShingle | Pedro Carlos Carricondo Tatiana Tanaka Suellen Tiemi Shibata Leandro Cabral Zacharias Thiago Aragão Leite Maria Fernanda Abalem Walter Y. Takahashi Socioeconomic Barriers to Rhegmatogenous Detachment Surgery in Brazil Journal of Ophthalmology |
| title | Socioeconomic Barriers to Rhegmatogenous Detachment Surgery in Brazil |
| title_full | Socioeconomic Barriers to Rhegmatogenous Detachment Surgery in Brazil |
| title_fullStr | Socioeconomic Barriers to Rhegmatogenous Detachment Surgery in Brazil |
| title_full_unstemmed | Socioeconomic Barriers to Rhegmatogenous Detachment Surgery in Brazil |
| title_short | Socioeconomic Barriers to Rhegmatogenous Detachment Surgery in Brazil |
| title_sort | socioeconomic barriers to rhegmatogenous detachment surgery in brazil |
| url | http://dx.doi.org/10.1155/2014/452152 |
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